Will Vestibular Migraine Pathology Lead to Ischemic Changes in Brain Tissue in Later Age?

Migraine has been considered to be an episodic, multifactorial, neurovascular disorder without long-term consequences to the brain, although numerous studies have shown a possible association between vestibular migraine and ischemic changes in the brain. 3 Case based scenarios of previously diagnosed patients with vestibular migraine on treatment, associated  with clinical changes of ischemia, infarction and white matter lesions are reviewed and integrated with the results based on MRI study. There is a need for proper diagnosis to address the complaints and manage symptoms during acute attacks of vestibular migraine and prophylaxis. In addition these cases highlight the ongoing need for proper systemic evaluation, therapeutic management, regular follow up, compliance of medication and life style modification. Pathological sequelae of long standing vestibular migraine are ischemic changes of the brain tissue, which requires further evaluation and extensive study of these symptom complexes.